Walls Melissa L, Whitesell Nancy Rumbaugh, Barlow Allison, Sarche Michelle
a University of Minnesota Medical School , Duluth , Minnesota.
b Colorado School of Public Health , University of Colorado Anschutz Medical Campus , Aurora , Colorado.
J Ethn Subst Abuse. 2019 Jan-Mar;18(1):129-149. doi: 10.1080/15332640.2017.1310640. Epub 2017 Apr 25.
Research is an important tool in addressing myriad American Indian and Alaska Native (AIAN) health disparities; however, tensions exist between common empirical measurement approaches that facilitate cross-cultural comparisons and measurement specificity that may be more valid locally and/or culturally appropriate. The tremendous diversity of AIAN communities, small population sizes of distinct AIAN cultural groups, and varying cultural contexts and worldviews should influence measurement decisions in health research. We provide a framework for guiding measurement in collaboration with AIAN communities using examples from substance abuse research for illustration. Our goal is to build upon ongoing efforts to advance measurement validity for AIAN research by engaging community-researcher partnerships and critical thinking in the selection, adaptation, creation, and implementation of measures.
研究是解决众多美国印第安人和阿拉斯加原住民（AIAN）健康差距问题的重要工具；然而，在便于进行跨文化比较的常见实证测量方法与可能在当地更有效和/或在文化上更合适的测量特异性之间存在紧张关系。AIAN社区的巨大多样性、不同AIAN文化群体的小规模人口以及不同的文化背景和世界观，都应该影响健康研究中的测量决策。我们提供了一个框架，通过使用药物滥用研究中的例子来说明，与AIAN社区合作指导测量。我们的目标是通过在措施的选择、改编、创建和实施过程中建立社区-研究者伙伴关系并进行批判性思考，在推进AIAN研究测量有效性的现有努力基础上再接再厉。
